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Ohio rates for HCPCS 33140

Transmyocardial laser revascularization, by thoracotomy; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.88 / $5,232.50 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.88 / $1,733.93 / $3,322.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.00 / $5,945.00 / $29,406.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.72 / $1,673.36 / $2,751.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,488.06 / $1,488.06 / $2,166.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.48 / $1,604.77 / $1,604.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.10 / $2,042.43 / $3,101.11
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.94 / $2,186.75 / $2,966.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.32 / $1,310.45 / $2,005.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.00 / $3,098.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.93 / $2,025.60 / $3,263.34